CN104958095B - A kind of Ultrasound-guided Biopsy positioning guide - Google Patents

A kind of Ultrasound-guided Biopsy positioning guide Download PDF

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Publication number
CN104958095B
CN104958095B CN201510274699.5A CN201510274699A CN104958095B CN 104958095 B CN104958095 B CN 104958095B CN 201510274699 A CN201510274699 A CN 201510274699A CN 104958095 B CN104958095 B CN 104958095B
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CN
China
Prior art keywords
plate
chute
location
ultrasonic probe
ultrasound
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201510274699.5A
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Chinese (zh)
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CN104958095A (en
Inventor
王辉
李南林
李永平
张聚良
王廷
樊菁
李信
杨玉庆
魏洪亮
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Fourth Military Medical University FMMU
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Fourth Military Medical University FMMU
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Filing date
Publication date
Application filed by Fourth Military Medical University FMMU filed Critical Fourth Military Medical University FMMU
Priority to CN201510274699.5A priority Critical patent/CN104958095B/en
Publication of CN104958095A publication Critical patent/CN104958095A/en
Application granted granted Critical
Publication of CN104958095B publication Critical patent/CN104958095B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3494Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743Type of operation; Specification of treatment sites
    • A61B2017/00796Breast surgery
    • A61B2017/008Removal of tumors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means
    • A61B2017/3413Needle locating or guiding means guided by ultrasound

Abstract

The invention discloses a kind of Ultrasound-guided Biopsy positioning guide, including the ultrasonic probe on location-plate, is provided with conductor on ultrasonic probe, the first chute with a scale is provided with location-plate, needle guard in chute, is equipped with;Described ultrasonic probe is removably installed on location-plate.The present invention adopts auxiliary laser location equipment, after ultrasound position is determined, is determined using Laser Positioning Equipment and can set up the scope for puncturing needle track, needle track position is shown by display screen all the time, to provide good assosting effect as doctor;The positioning plate structure coordinated with probe is provided with, can be coordinated with Ultrasonic tomography equipment, under the puncture target spot for showing is indicated, the position of puncture is accurately provided using the scale on location-plate, make piercing process shoot the arrow at the target in iconography device display screen;Package unit can be applicable to body surface plurality of positions, can play fixation to ultrasonic probe so that whole piercing process precisely, simply, reaches good puncture effect.

Description

A kind of Ultrasound-guided Biopsy positioning guide
Technical field
The present invention relates to a kind of device for aiding in puncturing, and in particular to one kind Needle localization under iconography equipment draws Lead device.
Background technology
In recent years, with the progress of ultrasonic instrument performance and the improvement of puncture needle and the accumulation of operation doctors experience, Ultrasound-guided Biopsy art has become very important diagnostic techniquess so that many diseases are particularly tumor disease and can obtain Diagnose in time clearly, be the selection of patient's therapeutic modality, the evaluation after treating in the selection and treatment of modus operandi with Visit there is provided most important information.
Ultrasound-guided Biopsy technology has the characteristics of flexible, convenient, blind area is little, it is adaptable to the biopsy of various superficial focis The processes such as drawing liquid, arterial-venous puncture, nerve block.Specific practice is, under the guiding of ultrasound, to avoid important organ and larger Nervus vasculairs, puncture needle is penetrated in pathological tissues exactly treated or by suction out, cut out a small amount of cell or group Knitting carries out pathologic finding, and this just avoids the damage to surrounding tissue to the full extent, can also immediately to puncture portion after puncture Position and puncture path are observed, and have found that it is likely that the phenomenons such as the bleeding of appearance in time, are acted upon with the most short time, it is to avoid draw Play more serious complication.In plane puncture method with its needle track show completely, puncture high precision and become most of doctor's It is first-selected.
But, when in plane, free-hand puncture requires to puncture, needle track is completely in the plane of scanning motion of ultrasound, slightly deflection pin Road cannot just show that doctor needs the position of constantly adjustment puncture needle, could preferably show needle track, and this gives doctor's operating process Many problems are brought, and the quality to puncturing is impacted to a certain extent.
The content of the invention
For above-mentioned problems of the prior art, it is an object of the present invention to provide a kind of auxiliary under ultrasound guidance The positioning guide of puncture is helped, doctor can be aided in before puncture and in piercing process accurately to adjust, determine point of puncture, needle track position Put, provide for venipuncture and provide powerful support for.
In order to realize above-mentioned task, the present invention is employed the following technical solutions:
A kind of Ultrasound-guided Biopsy positioning guide, including the ultrasonic probe on location-plate, on ultrasonic probe Conductor is provided with, the first chute with a scale is provided with location-plate, needle guard in chute, is equipped with;Described ultrasonic probe It is removably installed on location-plate.
Further, described conductor adopts laser pen, laser pen to be obliquely installed on ultrasonic probe, works as ultrasonic probe Contact with human body surface when being detected, the light that laser pen is projected is beaten on the skin of ultrasonic probe dead ahead, and for one Straight line.
Further, the first described chute is the chute for penetrating location-plate, after ultrasonic probe is arranged on location-plate, The light that laser pen is projected is beaten in the first chute.
Further, one or more second cunning passed through even with the first chute and be crisscross arranged is provided with described location-plate Groove, the second chute penetrate location-plate.
Further, described location-plate is bent soft plate body, can be attached at human body surface.
Further, described needle guard includes that upper slide and lower skateboard, upper slide and lower skateboard all carry centre bore, upper cunning Connected by elastic tube between plate and the centre bore of lower skateboard.
Further, after described needle guard is assemblied in the first chute, the lower skateboard of needle guard does not pass the first chute bottom.
Further, it is provided with the first described chute and the second chute and fills for the locking for fixing needle guard position Put.
Further, on the upper surface of described location-plate, the side of the first chute is provided with the card parallel with the first chute Groove, draw-in groove side are distributed with multiple hole clippings along the length direction of draw-in groove, and the bottom of described upper slide is provided with and is coordinated with hole clipping Card column.
Further, it is provided with described location-plate side for fixing the elastic card of ultrasonic probe, elastic card is arranged A pair, it is made up of two symmetrically arranged L-shaped elastic plates, when ultrasonic probe is in elastic card, the contact jaw of ultrasonic probe Stretch out the lower surface of location-plate.
The present invention has following technical characterstic compared with prior art:
1. auxiliary laser location equipment is adopted, after ultrasound position is determined, is determined using Laser Positioning Equipment and can be set up The scope of needle track is punctured, and needle track position is shown by display screen all the time, good assosting effect is provided as doctor;
2. the positioning plate structure coordinated with probe is provided with, can be coordinated with Ultrasonic tomography equipment, it is aobvious in iconography equipment Under the puncture target spot shown in display screen is indicated, the position of puncture is accurately provided using the scale on location-plate, have piercing process Put arrow;
3. devise the needle guard structure that can be moved in location-plate, the needle guard can after point of puncture is chosen fixed bit Put, using the external path of travel as puncture needle in piercing process, puncture needle can be given and clearly guided, and according to puncture needle Traveling feature, the needle guard can bend, so as to advanced positions and the side of syringe needle are adjusted in the certain limit in piercing process To;
4. package unit can be applicable to body surface plurality of positions, and location-plate is arranged according to human body feature, can be attached at skin table Face, and fixation can be played to ultrasonic probe so that whole piercing process precisely, simply, reaches good puncture effect.
Description of the drawings
Fig. 1 is the overall structure diagram of the present invention;
Fig. 2 removes the structural representation after ultrasonic probe for Fig. 1;
Fig. 3 is application schematic diagram of the present utility model;
Structural representations of the Fig. 4 for location-plate;
Structural representations of the Fig. 5 for snap ring;
Structural representations of the Fig. 6 for needle guard;
In figure, label is represented:1-location-plate, 2-elastic card, 3-ultrasonic probe, 4-snap ring, the 5-the second chute, 6- Needle guard, 601-arrow mark, 602-upper slide, 603-card column, 604-elastic tube, 605-lower skateboard, 7-laser pen, 8-draw-in groove, 9-hole clipping, the 10-the first chute, 11-scale.
Specific embodiment
During free-hand puncture, one very important problem is just to maintain the accuracy of the traveling of needle track, and selects suitable Point of puncture, but these all be unable to do without the support of iconography equipment.Before being punctured using B ultrasonic, color ultrasound when detecting, ultrasonic probe Eventually arrive in moving process and detect the target location for needing to puncture, doctor now needs against display to determine puncture Position and hand-manipulating of needle angle.But due to no good impetus in free-hand piercing process so that even if there is the image detected out to draw Lead, needle track still can deviate;And ultrasonic device probe image is only a limited sector over the display, needle track slightly has Puncture needle is just can't see in skew, needs to correct or puncture again.
It is mostly that needle track sets up position not the reason for needle track deviates during puncture that the thinking that inventor is proposed in this programme is Properly, deflected away from and detected plane, or puncture position choose it is bad, needle track set up during portion deviate and in image In cannot see that.The scanning plane that plane is in front of ultrasonic probe is detected, and an effective means for solving these problems is exactly, After ultrasonic probe has detected target location, on the premise of human body surface avoids internal organs, nervus vasculairs, determine and most close Suitable point of puncture, and the direction of travel of needle track, then doctor only needs to observe display screen control inserting needle speed in piercing process Rate can be accurate to up to puncture target location.Below scheme is proposed for this present invention:
A kind of Ultrasound-guided Biopsy positioning guide, including the ultrasonic probe 3 on location-plate 1, ultrasonic probe 3 On be provided with conductor, with a scale 11 the first chute 10 is provided with location-plate 1, needle guard 6 in chute, is equipped with;Described Ultrasonic probe 3 is removably installed on location-plate 1.
What is shown in display screen detects face, and as ultrasonic probe 3 is tied with the inside of human body of the contact jaw front lower place of human body Structure.After the position of probe determines, more satisfactory mode be exactly puncture overall process in puncture needle can be shown in image. The face of detecting is generally sector, and ultrasonic probe 3 is generally semi-cylindrical or semielliptical shape with the contact jaw of human body.Guarantee to wear The selection of thorn position and needle track is rationally, simplest to be ensuring that puncture position in the human body skin in front of ultrasonic probe 3 Portion.When so so puncturing, puncture needle is farthest located in the picture in the middle part of image, even if having slightly in piercing process Adjustment, also leaves enough surplus adjustment spaces, adjustment process puncture needle is not also deflected away from outside image.In this programme Employ conductor, the effect of conductor is the position that auxiliary determines probe front, i.e., after probe positions are determined, can be The dead ahead medium position of probe determines straight line.Conductor can have multiple choices, such as chi, line etc..
In order that piercing process is more smooth, and facilitates the determination of puncture position, location-plate 1 is also provided with this programme and is tied Structure.Location-plate 1 and ultrasonic probe 3 are used cooperatively, and ultrasonic probe 3 can be removably installed on location-plate 1.Ultrasonic probe 3 After on location-plate 1, location-plate 1 is located at the face of detecting of the front of ultrasonic probe 3, i.e. ultrasonic probe 3 and is located at location-plate 1 Underface.Needle guard 6 in location-plate 1, plays a part of auxiliary and determines hand-manipulating of needle point and hand-manipulating of needle direction.By seeing on indicator screen The site of puncture image for observing, calculates the distance between probe positions and optimum puncturing point according to image magnification ratio, then According to 11 slip needle guard 6 of scale in the first chute 10, make needle guard 6 reach optimum puncturing point, punctured from needle guard 6.
A kind of conductor easy to use is proposed in this programme.Conductor adopts laser pen 7, and laser pen 7 is in ultrasound spy It is obliquely installed on 3, when ultrasonic probe 3 is contacted with human body surface to be detected, the light that laser pen 7 is projected is beaten and visited in ultrasound On the skin of 3 dead aheads, and it is straight line.
The light that laser pen 7 is got is straight and obvious, can play extraordinary guiding function.Laser pen 7 it is written best For linear.Laser pen 7 is removably mounted on ultrasonic probe 3, and laser pen 7 is obliquely installed, make the pen of laser pen 7 With human body surface at an angle, the light that such laser pen 7 is got is one straight line in human body surface in head place face.This is straight Line need not be long, can play a part of guiding and illustrate.Laser pen 7 should be arranged on 3 upper center position of ultrasonic probe, make The light that laser pen 7 is got can be in 3 front medium position of ultrasonic probe, position of the light that laser pen 7 is got on skin, i.e., For optimal puncture position.
First chute 10 is the chute for penetrating location-plate 1, and after ultrasonic probe 3 is arranged on location-plate 1, laser pen 7 is penetrated The light for going out is beaten in the first chute 10.One or more is provided with location-plate 1 with 10 company of passing through of the first chute and is crisscross arranged Second chute 5, the second chute 5 penetrate location-plate 1.
Location-plate 1 can be attached on skin, played a part of fixed, guided puncture, thus required that the first chute 10 is Penetrating chute.Location-plate 1 is placed on 3 dead ahead of ultrasonic probe, and handle after body surface detects target location by ultrasonic probe 3 Ultrasonic probe 3 is fixed on location-plate 1.Now, open laser pen 7 to be adjusted, the light that laser pen 7 is projected is beaten first In chute 10, and penetrated on the human body skin below the first chute 10 by the first chute 10.Penetrate straight on human body skin Light should be parallel with the first chute 10.Skin surface below the whole position of the first chute 10 is at this time equivalent to so i.e. Optimum position is punctured for optional.
Second chute 5 is more few to be used, and the accompanying drawing example for only arranging second chute 5 is given in the accompanying drawing of this programme. Second chute 5 can be vertical with the first chute 10, it is also possible to out of plumb, it is adaptable to which special circumstances are needed from other angles or position Use when puncture and not so good mobile ultrasonic probe 3.Needle guard 6 can be slided in the second chute 5 from the first chute 10, two Chute is insertion, and structure is identical.Second cunning of a set of different numbers, different angles can be set according to different puncture positions Groove.
Location-plate 1 is bent soft plate body, can be attached at human body surface.Location-plate 1 can adopt elastomeric material system Into with certain degree of hardness, but it is also possible to bend, primarily to being conveniently attached at human body surface.Attaching refers to that its lower surface is big Part can be contacted with human body surface.After which is attached at human body surface, from from iconography image, although the first chute 10 may Occur bending, but as long as the first chute 10 towards skin direction projection point-blank, puncture position would not be affected It is determined that.And the depth of inserting needle can be determined by the image on display screen.
As illustrated, 6 structure of needle guard proposed for this programme.Needle guard 6 includes upper slide 602 and lower skateboard 605, upper slide 602 and lower skateboard 605 on all carry and connected by elastic tube 604 between the centre bore of centre bore, upper slide 602 and lower skateboard 605 Connect.After needle guard 6 is assemblied in the first chute 10, the lower skateboard 605 of needle guard 6 does not pass 10 bottom of the first chute.
Needle guard 6 is assemblied in chute, wherein upper slide 602 on 1 upper surface of location-plate, due to the following table of location-plate 1 Face is contacted with human epidermal, therefore in order to not affect the movement of needle guard 6, lower surface of the lower skateboard 605 less than location-plate 1.On Arrow labelling 601 is provided with 602 upper surface of slide plate, the labelling points to the scale 11 of 10 side of the first chute, convenient true Positioning is put.Elastic tube 604 in needle guard 6, its effect is to adjust hand-manipulating of needle direction within the specific limits, but scope will not mistake Greatly.As illustrated, a kind of structure for being given, elastic tube 604 can deform, that is, make what centre bore and elastic tube 604 were constituted Hand-manipulating of needle passage can be perpendicular to skin, it is also possible to is angled into skin.So just have than larger choosing in operation Space is selected, in the elastic deformation of elastic tube 604(Safety)In the range of, can be according to the position adjustment hand-manipulating of needle direction for puncturing target, side Just use.
After 6 position of needle guard is adjusted according to scale 11, need to be fixed needle guard 6.First chute 10 and second is slided It is provided with groove 5 for fixing the clamping device of 6 position of needle guard.Locking position needs the position for keeping needle guard 6, and can be convenient Be adjusted.
This programme proposes a kind of structure that can fix 6 position of needle guard:
On the upper surface of location-plate 1, the side of the first chute 10 is provided with the draw-in groove 8 parallel with the first chute 10, draw-in groove 8 Side is distributed with multiple hole clippings 9 along the length direction of draw-in groove 8, and the bottom of described upper slide 602 is provided with and the cooperation of hole clipping 9 Card column 603.
As illustrated, draw-in groove 8 is to be engraved in a shallow slot parallel with the first chute 10 on 1 upper surface of location-plate, with scale 11 are distributed in 10 both sides of the first chute respectively.Hole clipping 9 arranges multiple, linear directional spreding, and the straight line of distribution is parallel with draw-in groove 8 And hardly differ.Needle guard 6 can be rotated, and due to middle 604 structure of elastic tube, can be with a certain degree of stretching.In order to Stablizing when ensureing that needle guard 6 slides in the first chute 10, needle guard 6 are pinched upper slide 602 first, are lifted up using front Slide plate 602, makes 6 integrally stretching of needle guard, and rotates upper slide 602, makes the card column 603 of 602 bottom of upper slide extend into draw-in groove 8 In, then upper slide 602 is unclamped, so due to the cooperation of draw-in groove 8 and card column 603, more will stablize in 6 moving process of needle guard.
Card column 603 is located on the edge of 602 bottom of upper slide, and when upper slide 602 is rotated, card column 603 is also rotated, and is rotated Track is arc.When needle guard 6 moves to precalculated position, needs to fix, it is only necessary to be lifted up upper slide 602, make card column 603 deviate from from chute, and slightly rotate upper slide 602, in making some hole clipping 9 that card column 603 is extend into beside chute, then Upper slide 602 is unclamped, so due to the restriction of hole clipping 9, the position for allowing for needle guard 6 has obtained fixation.Therefore 6 position of needle guard is adjusted It is whole, conveniently realized by " lifting-rotate-put down upper slide 602 " this mode.
With regard to installing and fixing, Liang Ge mechanisms are related generally to, one is that laser pen 7 is arranged on ultrasonic probe 3.For this It is provided with snap ring 4 in scheme, snap ring 4 is the elastic ring of a non-closed, laser pen 7 is arranged on snap ring 4, then by snap ring 4 It is enclosed within ultrasonic probe 3.Elastic ring is installed, convenient disassembly and structure is little, does not affect the normal use of ultrasonic probe 3.
It is provided with 1 side of location-plate for fixing the elastic card 2 of ultrasonic probe 3, elastic card 2 is arranged a pair, by two Symmetrically arranged L-shaped elastic plate composition, when ultrasonic probe 3 is in elastic card 2, the contact jaw of ultrasonic probe 3 stretches out positioning The lower surface of plate 1.First elastic card 2 is separated to both sides during use, after being put into ultrasonic probe 3, then unclamp elastic card 2, block super Sonic probe 3.
The course of work of this device refers to as follows:
1. ultrasonic device is opened, under the guide of display probe image, ultrasonic probe 3 human body surface is moved to into optimal Position;
2. keep the position of ultrasonic probe 3 motionless, laser pen 7 is enclosed within ultrasonic probe 3, laser pen 7 is made in people's body surface Pi Shangneng gets straight line bright together, and then location-plate 1 is placed in front of ultrasonic probe 3 and is tiled makes which be attached at people's body surface Face, adjusts the direction of location-plate 1, the line that laser pen 7 is got is entirely located in the first chute 10, and now the first chute 10 has been Ajust;Then ultrasonic probe 3 is stuck on the elastic card 2 of location-plate 1;
3. by the amplifying parameters of display, and target location, the condition such as whether have big blood vessel, internal organs etc. to hinder, it is comprehensive Determine the horizontal range apart from optimum puncturing point on human epidermal of ultrasonic probe 3;
4., according to the distance movement needle guard 6 for determining, in-position is indicated according to scale 11, needle guard 6 is then fixed;
5. punctured from needle guard 6, target location is reached under the guide of display.

Claims (8)

1. a kind of Ultrasound-guided Biopsy positioning guide, it is characterised in that include installed in location-plate(1)On ultrasonic probe (3), ultrasonic probe(3)On be provided with conductor, in location-plate(1)On be provided with it is with a scale(11)The first chute(10), it is sliding Needle guard is equipped with groove(6);Described ultrasonic probe(3)It is removably installed in location-plate(1)On;
Described location-plate(1)On be provided with one or more with the first chute(10)The company of passing through and the second chute being crisscross arranged(5), Second chute(5)Penetrate location-plate(1);
Described location-plate(1)For bent soft plate body, human body surface can be attached at.
2. Ultrasound-guided Biopsy positioning guide as claimed in claim 1, it is characterised in that described conductor is using swashing Light pen(7), laser pen(7)In ultrasonic probe(3)On be obliquely installed, work as ultrasonic probe(3)Contact with human body surface and detected When, laser pen(7)The light of injection is beaten in ultrasonic probe(3)On the skin of dead ahead, and it is straight line.
3. Ultrasound-guided Biopsy positioning guide as claimed in claim 1, it is characterised in that the first described chute(10) To penetrate location-plate(1)Chute, work as ultrasonic probe(3)Installed in location-plate(1)After upper, laser pen(7)The light of injection is beaten In the first chute(10)In.
4. Ultrasound-guided Biopsy positioning guide as claimed in claim 1, it is characterised in that described needle guard(6)Including Upper slide(602)And lower skateboard(605), upper slide(602)And lower skateboard(605)Centre bore, upper slide are carried all(602)With under Slide plate(605)Centre bore between pass through elastic tube(604)Connection.
5. Ultrasound-guided Biopsy positioning guide as claimed in claim 4, it is characterised in that described needle guard(6)Assembling In the first chute(10)In after, needle guard(6)Lower skateboard(605)First chute is not passed(10)Bottom.
6. Ultrasound-guided Biopsy positioning guide as claimed in claim 1, it is characterised in that the first described chute(10) With the second chute(5)On be provided with for fixing needle guard(6)The clamping device of position.
7. Ultrasound-guided Biopsy positioning guide as claimed in claim 4, it is characterised in that described location-plate(1)'s First chute on upper surface(10)Side be provided with and the first chute(10)Parallel draw-in groove(8), draw-in groove(8)Side is along draw-in groove (8)Length direction multiple hole clippings are distributed with(9), described upper slide(602)Bottom be provided with and hole clipping(9)The card of cooperation Post(603).
8. Ultrasound-guided Biopsy positioning guide as claimed in claim 1, it is characterised in that described location-plate(1)Side It is provided with face for fixing ultrasonic probe(3)Elastic card(2), elastic card(2)Arrange a pair, by two symmetrically arranged L Shape elastic plate is constituted, ultrasonic probe(3)Installed in elastic card(2)When middle, ultrasonic probe(3)Contact jaw stretch out location-plate(1) Lower surface.
CN201510274699.5A 2015-05-26 2015-05-26 A kind of Ultrasound-guided Biopsy positioning guide Expired - Fee Related CN104958095B (en)

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